首页|反复促通疗法联合阳极经颅直流电刺激治疗脑卒中后手功能障碍患者的疗效观察

反复促通疗法联合阳极经颅直流电刺激治疗脑卒中后手功能障碍患者的疗效观察

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目的 探究反复促通疗法(RFE)联合阳极经颅直流电刺激(tDCS)治疗脑卒中后手功能障碍患者的疗效.方法 选取 2020年2 月—2023 年 1 月徐州医科大学附属医院收治的 84 例脑卒中后手功能障碍患者为研究对象,进行前瞻性研究.按简单随机法将其分为对照组和试验组,各42例.对照组采用常规康复治疗,试验组在对照组基础上采用RFE联合阳极tDCS治疗,两组均持续治疗 1 个月.比较两组的手功能状态、手部运动功能分期、日常生活能力及手指感觉功能.结果 治疗后,试验组Fugl-Meyer运动功能量表、改良Barthel指数及Lind-mark手功能评分分别为(32.78±2.51)分、(55.42±5.64)分、(17.09±2.21)分,均高于对照组的(27.15±1.36)分、(45.31±6.79)分、(13.65±2.31)分,组间差异有统计学意义(P﹤0.05);试验组Brunnstrom分期优于对照组,差异有统计学意义(P﹤0.05).结论 RFE联合阳极tDCS可加快脑卒中后手功能障碍患者的恢复,改善患者的日常生活质量.
Observation on the Efficacy of Repeated Stimulative Therapy Combined with Anodic Transcranial Direct Current Stimulation in Patients with Hand Dysfunction after Stroke
Objective To explore the effect of repeated stimulation therapy(RFE)combined with anodic transcranial direct current stimulation(tDCS)on the patients with hand dysfunction after stroke.Methods A total of 84 patients with post-stroke hand dysfunction admitted to the Affiliated Hospital of Xuzhou Medical University from February 2020 to January 2023 were selected as the research objects to conduct a prospective ersearch.They were divided into a control group and a experimental group by simple random method,with 42 cases in each group.The control group received conventional rehabilitation treatment,and the experimental group received RFE combined with anodic tDCS on the basis of the control group,both groups received continuous treatment for 1 month.Hand function state,motor function stage,daily living ability and finger sensory function were compared between the two groups.Results After treatment,the scores of Fugl-Meyer Assessment Scale,Modified Barthel Index and Lind-mark hand function were(32.78±2.51)points,(55.42±5.64)points and(17.09±2.21)points,respectively,which were higher than(27.15±1.36)points,(45.31±6.79)points,(13.65±2.31)points in the control group,the differences between the groups were statistically significant(P﹤0.05);brunnstrom stage in experimental group was better than that in control group,and the difference was statistically significant(P﹤0.05).Conclusion RFE combined with anodic tDCS can accelerate the recovery of patients with hand dysfunction after stroke and improve the quality of daily life of patients.

StrokeHand dysfunctionRepeated stimulation therapyAnodic transcranial direct current stimulation

戴迪迪

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徐州医科大学附属医院康复科,江苏 徐州 221000

脑卒中 手功能障碍 反复促通疗法 阳极经颅直流电刺激

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(19)